CURRENT TREATMENT PATTERNS AMONG PATIENTS WITH OSTEOARTHRITIS IN JAPAN: ANALYSIS OF A REAL-WORLD DATASET

CURRENT TREATMENT PATTERNS AMONG PATIENTS WITH OSTEOARTHRITIS IN JAPAN: ANALYSIS OF A REAL-WORLD DATASET

Author: Jennifer Mellor

Publisher:

Published: 2017

Total Pages:

ISBN-13:

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Background and Aims: Osteoarthritis (OA) causes pain and disability, limiting the performance of various activities of daily living. Pharmacological management of OA focuses on a reduction of symptoms including pain and functional decline. The aim of this study is to understand how physicians in Japan are currently treating OA. Methods: Data were drawn from the Adelphi OA Disease Specific Programme (2017-18), a point-in-time study of physicians and their patients in Japan. OA severity was assessed by physicians, who categorised patients as mild, moderate or severe. Physicians provided details on prescribed OA therapy and rated their satisfaction with therapy from very satisfied to very dissatisfied. Descriptive statistics were reported.Results: The study included 393 patients: 41% had mild (n=160), 50% moderate (n=196) and 9% severe OA (n=37). Overall, 81% of patients were treated with a drug for their OA (74% of mild; 85% of moderate; 89% of severe patients). NSAIDs (63%) and hyaluronic acid for intra-articular injection (35%) were most frequently used. A small proportion of patients received an opioid (13%). The mean number of pharmacologic drugs increased (1.0 for mild, 1.3 for moderate and 1.4 for severe) and physician satisfaction decreased (88% for mild; 71% for moderate; 51% for severe) with increasing OA severity.Conclusions: High use of NSAIDs and/or hyaluronic acid suggests a preference for conservative pharmacologic treatment of OA in Japan. However, satisfaction levels suggest that physicians are looking for better efficacy and safety to treat patients as their severity worsens.


Registries for Evaluating Patient Outcomes

Registries for Evaluating Patient Outcomes

Author: Agency for Healthcare Research and Quality/AHRQ

Publisher: Government Printing Office

Published: 2014-04-01

Total Pages: 385

ISBN-13: 1587634333

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This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.


Musculoskeletal Network

Musculoskeletal Network

Author:

Publisher:

Published: 2012

Total Pages: 39

ISBN-13: 9781741877823

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"The ACI Osteoarthritis Chronic Care Program (OACCP) developed by the ACI Musculoskeletal Network offers a pathway to improved care for people who have one of the most common, debilitating, costly and rapidly growing chronic conditions – osteoarthritis. "--Website summary.


Atlas of Osteoarthritis

Atlas of Osteoarthritis

Author: Nigel Arden

Publisher: Springer

Published: 2015-01-19

Total Pages: 99

ISBN-13: 1910315168

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This Atlas provides an up-to-date and comprehensive overview of the historical and current perspectives on osteoarthritis, including the pathophysiology and epidemiology of the disease. Written by leading authors in the field of osteoarthritis, the book discusses classification, etiology and risk factors for osteoarthritis, the disease course and determinants of osteoarthritis progression, clinical features and diagnosis as well as imaging methods to assess joint damage. The Atlas of Osteoarthritis concludes with the latest treatment updates including both nonpharmacological and pharmacological treatments, as well as surgical recommendations for patients with the disease. Osteoarthritis is the most common form of joint disease causing joint pain, stiffness, and physical disability among adults. It is an important issue for both the individual and society with its impact on public health continuing to grow as a result of the aging population, the rising prevalence of obesity, and the lack of definitive treatments to prevent or halt the progress of the disease.


The Future of the Public's Health in the 21st Century

The Future of the Public's Health in the 21st Century

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2003-02-01

Total Pages: 536

ISBN-13: 0309133181

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The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.


Wolff's Headache and Other Head Pain

Wolff's Headache and Other Head Pain

Author: Stephen D. Silberstein

Publisher: Oxford University Press, USA

Published: 2008

Total Pages: 870

ISBN-13:

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The 8th edition of Wolff's Headache and Other Head Pain remains the definitive reference text in the field. Our knowledge and understanding of headache and its management have changed significantly in the twenty-first century. A new international headache classification has been adopted; headache pathophysiology and genetics have advanced; and epidemiologic studies have burgeoned. We have greater insights into the diagnosis and treatment of the secondary headaches. New treatments are available for primary headache disorders, including migraine, cluster, and chronic daily headache, and our understanding and knowledge are increasing by means of ongoing trials. The 8th edition encompasses all of this new material, with all chapters updated and many new authors added.


Sleep Disorders and Sleep Deprivation

Sleep Disorders and Sleep Deprivation

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2006-10-13

Total Pages: 425

ISBN-13: 0309101115

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Clinical practice related to sleep problems and sleep disorders has been expanding rapidly in the last few years, but scientific research is not keeping pace. Sleep apnea, insomnia, and restless legs syndrome are three examples of very common disorders for which we have little biological information. This new book cuts across a variety of medical disciplines such as neurology, pulmonology, pediatrics, internal medicine, psychiatry, psychology, otolaryngology, and nursing, as well as other medical practices with an interest in the management of sleep pathology. This area of research is not limited to very young and old patientsâ€"sleep disorders reach across all ages and ethnicities. Sleep Disorders and Sleep Deprivation presents a structured analysis that explores the following: Improving awareness among the general public and health care professionals. Increasing investment in interdisciplinary somnology and sleep medicine research training and mentoring activities. Validating and developing new and existing technologies for diagnosis and treatment. This book will be of interest to those looking to learn more about the enormous public health burden of sleep disorders and sleep deprivation and the strikingly limited capacity of the health care enterprise to identify and treat the majority of individuals suffering from sleep problems.


Sex and Gender Differences in Pharmacology

Sex and Gender Differences in Pharmacology

Author: Vera Regitz-Zagrosek

Publisher: Springer Science & Business Media

Published: 2012-10-02

Total Pages: 599

ISBN-13: 3642307264

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This is the very first book to deal with sex and gender differences in drug therapy - an increasingly recognized medical need. It starts with an overview on S/G in clinical syndromes and a documentation of the medical and socioeconomic damage caused by gender specific adverse drug effects. Part I covers S/G differences in pharmacokinetics. Researchers will be satisfied by the detailed discussion of the mechanisms of S/G differences in drug effects that represents cutting edge science and includes interaction of drugs with sex hormones, genomic and epigenetic mechanisms. It also covers S/G in drug development, in animal models and clinical development and S/G in drug prescriptions. Part II targets S/G differences in drug effects in cardiovascular, pulmonary, CNS, neuromuscular, neuropsychiatric and metabolic diseases, in cancer, inflammation, and rheumatic diseases, in bacterial and retroviral infections, thrombosis, embolism. New drugs will be discussed.


Cancer and Aging

Cancer and Aging

Author: M. Extermann

Publisher: Karger Medical and Scientific Publishers

Published: 2013-01-18

Total Pages: 179

ISBN-13: 3318023078

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Cancer is clearly an age-related disease. Recent research in both aging and cancer has demonstrated the complex interaction between the two phenomena. This affects a wide spectrum of research and practice, anywhere from basic research to health care organization. Core examples of these close associations are addressed in this book. Starting with basic research, the first chapters cover cancer development, mTOR inhibition, senescent cells altering the tumor microenvironment, and immune senescence affecting cancer vaccine response. Taking into account the multidisciplinarity of geriatric oncology, several chapters focus on geriatric and oncologic aspects in patient assessment, treatment options, nursing and exercise programs. The book is rounded off by a discussion on the impact of the metabolic syndrome illustrating the interactions between comorbidity and cancer and a chapter on frailty.This book provides the reader with insights that will hopefully foster his or her reflection in their own research and practice to further the development of this most exciting field. Given the aging of the population worldwide and the high prevalence of cancer, it is essential reading not only for oncologists and geriatricians but for all health practitioners.


WHO International Standard Terminologies on Traditional Medicine in the Western Pacific Region

WHO International Standard Terminologies on Traditional Medicine in the Western Pacific Region

Author:

Publisher: World Health Organization

Published: 2007

Total Pages: 374

ISBN-13:

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This book has been prepared in an effort to address the pressing need for a common language, i.e. international standard terminology and technical terms to be used in traditional medicine. The number of commonly used terms in traditional medicine is estimated to be more than 4000, most of which are included in this book, which is designed for use by students and clinical practitioners and researchers in the Western Pacific Region. This terminology will also be useful to assist Member States in the region in developing evidence-based clinical practice guidelines on traditional medicine.